Optimum Care (South) Ltd

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Systems and processes for monitoring and improving the quality of the service were not effectively implemented. Risks were not always monitored or mitigated. The management team recognised where some improvements were needed but were yet to embed these changes sufficiently.

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The management team recognised where some improvements were needed. They shared with us audit templates and new care planning documentation they intended to use going forward. They also explained that they were in the process of reviewing all spot checks and medication competencies for staff. However, they were yet to embed these changes sufficiently. There was no overall service improvement plan in place, outlining all the actions required, by when and who was responsible for their completion.

Systems and processes for monitoring and improving the quality of the service were not effectively implemented. Audits of service delivery had not been completed. This meant issues identified during this assessment, in relation to risk management and medication records had not been identified. There were also gaps in the completion of spot checks of staff performance, competencies, and supervision. As such, management oversight of the service was limited and opportunities for identifying areas of improvement reduced. Discussions with the management team suggested that incidents, complaints, and safeguarding concerns were followed up in a satisfactory manner. They were able to verbally outline action taken following incidents and showed us evidence of communication with staff, people, and relatives. However, systems were not in place to ensure all evidence was collated, actions were formally documented, and lessons learnt identified. Whilst practical steps were taken to resolve issues, there was limited evidence that the reasons why an incident occurred were considered and how reoccurrence could be prevented. Furthermore, incidents were not analysed for patterns or trends, limiting management oversight of the service. We discussed our concerns with the provider during the course of the assessment. Following this feedback, the provider gave us assurances that any immediate risk identified had been mitigated. They also shared with us what action they intended to take going forward.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.